Initial statewide baseline report

Florida ALF Intelligence — September 2026

Public AHCA survey and deficiency patterns across 3,017 Florida assisted living facilities. Data through September 8, 2026.

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30-day executive snapshot

Executive Summary

Period: August 10, 2026 through September 8, 2026. This initial report is a partial-month publication date with rolling-period context, not a complete September calendar month.

Inspections represented
106
Inspections with retained rows
45
Retained source rows
164
Class I findings
1
Class II findings
10
Monitor/follow-up events
33

Most Frequently Cited Areas

Top categories in the rolling 30-day period
CategoryRetained source rowsFacilitiesInspectionsShare of retained source rows
Resident Care25151515.2%
Medication Management22131313.4%
Admission and Continued Residency19141411.6%
Resident Rights1613139.8%
Staffing1510109.1%
Staff Training and Competency13887.9%
Memory Care and ADRD9995.5%
Emergency Management7774.3%
  • Resident Care: 25 findings vs 46 in the previous equivalent period; inspection presence 19.2% vs 21.8%. Signal: decreasing.
  • Medication Management: 22 findings vs 53 in the previous equivalent period; inspection presence 16.4% vs 18.6%. Signal: decreasing.
  • Staffing: 15 findings vs 36 in the previous equivalent period; inspection presence 12.3% vs 17.3%. Signal: decreasing.
  • Emergency Management: 7 findings vs 21 in the previous equivalent period; inspection presence 8.2% vs 12.8%. Signal: decreasing.

Class I & II Summary

AHCA's records contain 1 Class I and 10 Class II findings in this period. These are AHCA classifications, not a Care Reliability severity score.

Recurring Areas — 730 Days

  • Resident Care: 170 facilities with findings in separate inspections; 19.7% of facilities with at least one finding in that area.
  • Medication Management: 152 facilities with findings in separate inspections; 18.3% of facilities with at least one finding in that area.
  • Staffing: 103 facilities with findings in separate inspections; 12.0% of facilities with at least one finding in that area.
  • Staff Training and Competency: 85 facilities with findings in separate inspections; 11.7% of facilities with at least one finding in that area.
  • Resident Rights: 73 facilities with findings in separate inspections; 12.8% of facilities with at least one finding in that area.

Standard vs Complaint

Complaint

19 of 43 inspections had linked deficiencies (44.2%).

42 deficiency occurrences.

Standard

23 of 30 inspections had linked deficiencies (76.7%).

104 deficiency occurrences.

Findings That Appeared Together

  • Staffing + Staff Training and Competency appeared together in 446inspections. Co-occurrence does not establish causation.
  • Medication Management + Resident Care appeared together in 414inspections. Co-occurrence does not establish causation.
  • Medication Management + Staffing appeared together in 409inspections. Co-occurrence does not establish causation.
  • Resident Care + Staffing appeared together in 401inspections. Co-occurrence does not establish causation.
  • Resident Care + Staff Training and Competency appeared together in 326inspections. Co-occurrence does not establish causation.

Southwest Florida Context — 365 Days

Lee, Collier, combined, and statewide comparison
AreaInspectionsRetained source rowsSource rows per substantive inspection
Lee County1061171.23
Collier County50952.19
Lee + Collier counties1562121.53
Florida2,9036,4252.25

Care Reliability categories and process domains are provisional organizational labels. Raw AHCA tags remain authoritative; unmapped findings remain included in totals. This report does not rank facilities, determine root cause, or state current compliance.

Read the full methodology.

Static, controlled guidance

Process Control Check

A high-level sequence for testing whether information, ownership, verification, and closure survive each handoff. These are educational prompts, not facility-specific findings.

Medication Order Reconciliation

Make each handoff visible so a medication change cannot disappear between receipt and administration.

  1. Physician order
  2. Receipt
  3. Pharmacy
  4. Medication availability
  5. MAR
  6. Administration
  7. Documentation

Hospital Return Reconciliation

Reconcile changed instructions before the returning resident's next time-sensitive care task.

  1. Transfer
  2. Discharge documents
  3. Medication changes
  4. New orders
  5. Wound and skin instructions
  6. EMR
  7. Staff communication

Dietary Order Verification

Carry the current diet order through production and verify the resident-meal match at service.

  1. Provider order
  2. EMR
  3. Kitchen list
  4. Meal production
  5. Resident identification
  6. Meal served

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What changed. Why it matters. What to check.

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